Evaluating the Operational Efficiency and Accessibility of MRI Services in India’s Tertiary Healthcare System

Abstract

Background: Magnetic Resonance Imaging (MRI) plays a vital role in modern diagnostic medicine; however, in India, access to MRI services varies widely across hospitals due to differences in infrastructure, staffing, and operational practices. Long waiting times in government hospitals and inconsistent referral systems are common challenges affecting timely diagnosis and patient care.

Objectives: This study aimed to examine the variations in MRI service provision, operational processes, and referral practices among tertiary care hospitals in India. It also sought to identify bottlenecks and propose strategies for improving efficiency and equity in MRI utilization.

Methods: A descriptive cross-sectional study was conducted among 15 tertiary care hospitals across India, including both public and private institutions. Data was collected through institutional surveys, analysis of MRI requisition forms, and administrative interviews between January and April 2024. Quantitative data were analyzed using descriptive statistics, while qualitative data were analyzed thematically.

Results: Significant disparities were found in MRI operating hours, throughput, and patient waiting times. Government hospitals operated scanners for an average of 82 hours per week, while private hospitals operated them for an average of 135 hours. Routine MRI waiting times ranged from 35 days in public hospitals to 5 days in private ones. Only 33% of hospitals followed any formal appropriateness criteria for MRI referrals, and requisition forms varied widely in format and content.

Conclusion: The study concludes that unequal resource distribution, limited operational hours, and non-standardized requisition processes are major contributors to inefficiency in MRI services across India. To ensure equitable access and optimal utilization, national guidelines on MRI requisitions, digital scheduling systems, extended operating hours, and integration of appropriateness criteria are urgently required.